Incidentally diagnosed adrenal calcification
Emrah Aydın 1, Şenol Emre 1, İbrahim Adaletli 2, Nil Üstündağ 3, Hilmi Apak 4, Gonca Tekant 1
1İ.Ü. Cerrahpaşa Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, İstanbul
2İ.Ü. Cerrahpaşa Tıp Fakültesi, Radyoloji Anabilim Dalı, İstanbul
3İ.Ü. Cerrahpaşa Tıp Fakültesi, Patoloji Anabilim Dalı, İstanbul
4İ.Ü. Cerrahpaşa Tıp Fakültesi, Çocuk Hematolojisi Bilim Dalı, İstanbul
Keywords: Adrenal gland diseases, children, calcification, adrenal calcification
Abstract
Aim: In this case report a patient admitted with intussusception and incidentally diagnosed with a unilateral adrenal mass is presented and the literature is reviewed for non-traumatic adrenal masses.
Case Report: A patient admitted to our clinic with colicky abdominal pain and vomiting and diagnosed as intussusception. Calcified areas were detected on imaging studies incidentally. A calcifed lesion was found in the left adrenal gland on imaging studies. After pediatric oncology consultation surgical excision was decided. Pathology results were reported as the dystrophic calcification as a result of spontaneously regressed necrotic neuroblastoma. The patient is well on the first year of follow-up.
Conclusion: Etiologies of asymptomatic adrenal masses are variable. Incidentally discovered calcified adrenal masses in the pediatric age group must be surgically removed.